Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Fisher

Individual provider Pediatrics Physician · NPI 1417441965

Jacqueline Fisher is a Pediatrics Physician in Minnetonka, Minnesota. Works from 2 locations. Licensed in Michigan and Minnesota.

Licensed in
MI, MN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

6060 Clearwater Dr
Minnetonka, MN 55343-9442
Phone: (651) 220-6064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E. Medical Center Drive, Ann Arbor, MI 48109 — (734) 647-1774

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 76365 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 4301115527 (MI)

Record details

NPI number1417441965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Other providers in Minnetonka